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An organization which supplies or vends orthopedic appliances or apparatuses and artificial body parts used to support, align, prevent, or correct deformities or to replace or improve function of body parts.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist |
| NPI # | 1962455873 |
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| LBN Legal business name | ITALY SHOE LAB, INC | ||||
| Authorized official | JEFFREY CORNIELLO - (VICE-PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/19/2006 | ||||
| Last updated | 02/27/2008 - About 18 years ago | ||||
| Identifiers |
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ITALY SHOE LAB, INC
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ITALY SHOE LAB, INC